TIMBERLAND DENTAL PC NPI 1801105556

NPI Information

NPI: 1801105556
Provider Name: TIMBERLAND DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
301 E 1ST ST
BAY MINETTE, AL
ZIP 36507
Phone: (251) 580-0979
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TIMBERLAND DENTAL, PC is a dental clinic center in Bay Minette, AL. TIMBERLAND DENTAL, PC NPI is 1801105556. The provider is registered as an organization entity type.

The provider's business location address is:

301 E 1ST ST
BAY MINETTE, AL
ZIP 36507-029
Phone: (251) 580-0979
Fax: (251) 580-0971

The provider's authorized official is Harry Huger Houston .
The authorized official title is President/owner and has the following contact phone number (251) 580-0979.

The enumeration date for this NPI number is 9/29/2010 and was last updated on 9/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	5114	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009931835	MEDICAID	ALABAMA
2	515-38527	OTHER	ALABAMA	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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